MEDICARE: PREMIER HOME HEALTH SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant
2	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1295680031
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMIER HOME HEALTH SERVICES

Provider Business Mailing Address
First Line	:	168 W CENTER ST
Second Line	:
City	:	CANTON
State	:	MS
Zip	:	39046-3735
Country	:	US
Telephone Number	:	252-419-2657
Fax Number	:	866-450-7310

Provider Business Practice Location Address
First Line	:	168 W CENTER ST
Second Line	:
City	:	CANTON
State	:	MS
Zip	:	39046-3735
Country	:	US
Telephone Number	:	252-419-2657
Fax Number	:	866-450-7310

Authorized Official
Title or Position	:	COO
Name	:	MS. ERICA BRITTANY GRAY
Credential	:	GRAY
Telephone Number	:	252-419-2657

Provider Enumeration Date	:	02/26/2026
Last Update Date	:	03/23/2026

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Directions to “PREMIER HOME HEALTH SERVICES ” Practice Location

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